1. Dealing with enterocutaneous fistulas at Evangel
(Stories/Staff stories)

...ey have stool leaking out their abdominal wounds or their vaginas. Most come to us very sick, dehydrated, severely malnourished and anemic and some near death. Our approach in helping them is pr...

2. Better first line treatment needed for children with severe pneumonia
(Journal Club/Pediatrics)

...nvestigated 358 children aged 1–59 months, regardless of HIV status, who presented with WHO-defined severe or very severe pneumonia. Sixty-eight percent of the children were HIV infected. The em...

3. Rectal administration of artemisinin antimalarials generally effective--a meta-analysis
(Journal Club/Malaria)

...lity in bioavailability, rectal preparations appear to have acceptable therapeutic efficacy, including in severe illness." (Emphasis added). Rectal Administration of Artemisinin Derivatives fo...

4. An updated look at severe malnutrition in Africa -- are current guidelines feasible?
(Journal Club/Public Health)

Important reading for anyone working with children in Africa. WHO guidelines for severe malnutrition: are they feasible in rural African hospitals? Archives of Disease in Childhood 2007;92:198-20

5. Avian Influenza ("Bird Flu") H5N1
(FAQs/Health and Illness)

...es) to eye infections (conjunctivitis), pneumonia, acute respiratory distress, viral pneumonia, and other severe and life-threatening complications." Treatment Clinical Features (W...

6. Gram negative bacteremia, HIV common in severely malnourished Ugandan children
(Journal Club/Pediatrics)

In a cross-sectional study of 134 children admitted with severe malnutrition,  "Nearly a quarter (22%) ... had bacteraemia and gram-negative organisms were the predominant cause. Forty-four

7. What immunizations does my baby or child need for travel to Nigeria?
(FAQs/Info for travelers)

...d food and water it is rarely serious in young children and the CDC says, "Although HAV is often not severe in infants and children <5 years of age, those infected efficiently transmit infecti...

8. Community-based treatment of severe, acute malnutrition -- a better way?
(Journal Club/Public Health)

...s. This approach promises to be a successful and cost-effective treatment strategy." Management of severe acute malnutrition in children. The Lancet 2006; 368:1992-2000 ...

9. Oral misoprostol successfully prevents postpartum hemorrhage in resource-poor settings
(Journal Club/Public Health)

...after delivery. The frequency of (PPH) was reduced by half in the misoprostol group, and the frequency of severe PPH was reduced by 75%. "Interpretation: Oral misoprostol was associated with sig...

10. Evangel offers free malaria treatment
(News/News at Evangel)

...laria campaign. Presently, the free program is limited to young children (who are at the greatest risk of severe malaria), but we hope that it will soon be expanded to cover others. We're also looking...

11. Severe neutropenia rare in HIV-infected African adults on co-trimoxazole prophylaxis
(Journal Club/HIV)

...determined the incidence of neutropenia of different levels of severity. Only 4% of the patients ever had severe neutropenia (absolute neutrophil count [ANC] < 500) but 18% had ANC < 750 at leas...

12. Unusual skin infections in children (including the immunocompromised child)
(Journal Club/Pediatrics)

...althy children. When infection with these common pathogens occurs in an immunocompromised host, it may be severe or atypical in presentation. An immunocompromised child is also susceptible to a range ...

13. SP based intermittent preventive treatment for malaria in infants moderately effective -- Mozambique
(Journal Club/Public Health)

...acebo group, the SP group had 22% fewer malaria infections and 19% fewer hospitalizations. Frequencies of severe malaria and of severe anemia were not significantly different between groups. Intermi...

14. Geophysical disasters such as earthquakes and tsunamis do not lead to disease epidemics
(Journal Club/Public Health)

There is a common belief that disasters such as severe earthquakes and floods are followed by the danger of epidemics, particularly when there are many dead bodies in the area. It has been pointed out

15. Should antiretrovirals be started during acute, severe illness?
(Journal Club/HIV)

This article addresses various issues about care of HIV-infected patients in the intensive care unit, but of particular interest is the question of whether to start antiretroviral therapy for patients

16. Nitazoxanide effective for severe rotavirus diarrhea in placebo-controlled trial
(Journal Club/Family practice)

Effect of nitazoxanide for treatment of severe rotavirus diarrhoea: randomised double-blind placebo-controlled trial. Lancet 368(9530) 8 July 2006, 124-129.

17. What types of HIV drugs are available? I don't want to be 419
(FAQs/HIV/AIDS Questions and Answers)

...er treatment center than to try to do it alone. Has the person had a CD4 count done? Or do you know how severe the symptoms have been? The basic program in Nigeria and many other places is to take...

18. Parvovirus B19 Infection Contributes to Severe Anemia in Young Children in Papua New Guinea
(Journal Club/Pediatrics)

Parvovirus B19 is well known as a cause of severe anemia in certain situations, such as in individuals with sickle cell disease, other hemolytic diseases, and fetuses. It causes the anemia by suppress

19. Success of single dose azithromycin for cholera in adult men in Bangladesh
(Journal Club/Family practice)

...ical success 78% vs 10%. "Conclusions: Single-dose azithromycin was effective in the treatment of severe cholera in adults. The lack of efficacy of ciprofloxacin may result from its diminished...

20. Three days antibiotics as good as 8 for uncomplicated mild to moderate community-acquired pneumonia
(Journal Club/Family practice)

This study in the Netherlands randomized 119 adult patients with mild to moderate-severe community aquired pneumonia to receive five days of either placebo or oral amoxicillin after three days of IV a